Question 1

Which intervention should the nurse consider as primary prevention for an individual who is on the verge of being homeless due to a job layoff?

Accepted Answer

A) Referral to primary care provider to improve general health status 
B) Encouraging client to recognize reasons for job layoff 
C) Job training to increase employment options 
D) Encouraging the use of prn medications to control symptoms 
A) Referral to primary care provider to improve general health status 
B) Encouraging client to recognize reasons for job layoff 
C) Job training to increase employment options 
D) Encouraging the use of prn medications to control symptoms C

Question 2

When intervening with a married couple experiencing relationship discord, which reflects a nursing intervention at the secondary level of prevention?

Accepted Answer

A) Teaching assertiveness skills in order to meet assessed needs 
B) Supplying the couple with guidelines related to marital seminar leadership 
C) Teaching the couple about various methods of birth control 
D) Counseling the couple related to open and honest communication skills 
A) Teaching assertiveness skills in order to meet assessed needs 
B) Supplying the couple with guidelines related to marital seminar leadership 
C) Teaching the couple about various methods of birth control 
D) Counseling the couple related to open and honest communication skills D

Question 3

A nursing instructor is teaching about case management. What student statement indicates that learning has occurred?

Accepted Answer

A) "Case management is a method used to achieve independent client care." 
B) "Case management provides coordination of services required to meet client needs." 
C) "Case management exists to facilitate client admission to needed inpatient services." 
D) "Case management is a method to facilitate physician reimbursement." 
A) "Case management is a method used to achieve independent client care." 
B) "Case management provides coordination of services required to meet client needs." 
C) "Case management exists to facilitate client admission to needed inpatient services." 
D) "Case management is a method to facilitate physician reimbursement." B

Question 4

Which of the following clients should a nurse recommend for a structured day program? (Select all that apply.)

Accepted Answer

A) An acutely suicidal teenager who has had three previous suicide attempts 
B) A chronically mentally ill woman who has a history of medication noncompliance 
C) An elderly individual with end-stage Alzheimer's disease 
D) A depressed individual who is able to participate in a safety plan 
E) A client who is hearing voices that tell the client to harm others 
A) An acutely suicidal teenager who has had three previous suicide attempts 
B) A chronically mentally ill woman who has a history of medication noncompliance 
C) An elderly individual with end-stage Alzheimer's disease 
D) A depressed individual who is able to participate in a safety plan 
E) A client who is hearing voices that tell the client to harm others

Question 5

A homeless client comes to an emergency department reporting cough, night sweats, weight loss, and blood-tinged sputum. What disease that has recently become more prevalent among the homeless community should a nurse suspect?

Accepted Answer

A) Meningitis 
B) Tuberculosis 
C) Encephalopathy 
D) Mononucleosis 
A) Meningitis 
B) Tuberculosis 
C) Encephalopathy 
D) Mononucleosis

Question 6

A nurse is implementing care within the parameters of tertiary prevention. Which nursing action is an example of this type of care?

Accepted Answer

A) Teaching an adolescent about pregnancy prevention 
B) Teaching a client the reportable side effects of a newly prescribed neuroleptic medication 
C) Teaching a client to cook meals, make a grocery list, and establish a budget 
D) Teaching a client about his or her new diagnosis of bipolar disorder 
A) Teaching an adolescent about pregnancy prevention 
B) Teaching a client the reportable side effects of a newly prescribed neuroleptic medication 
C) Teaching a client to cook meals, make a grocery list, and establish a budget 
D) Teaching a client about his or her new diagnosis of bipolar disorder

Question 7

A client on the inpatient unit tells a student nurse, "My life has no purpose. I can't think about living another day, but please don't tell anyone about the way I feel. I know you are obligated to protect my confidentiality." Which is the most appropriate reply by the student nurse?

Accepted Answer

A) "The treatment team is composed of many specialists who are working to improve your ability to function.Sharing this information with the team is critical to your care." 
B) "Let's discuss steps that will resolve negative lifestyle choices that may increase your suicidal risk." 
C) "You seem to be preoccupied with self.You should concentrate on hope for the future." 
D) "This information is secure with me because of client confidentiality." 
A) "The treatment team is composed of many specialists who are working to improve your ability to function.Sharing this information with the team is critical to your care." 
B) "Let's discuss steps that will resolve negative lifestyle choices that may increase your suicidal risk." 
C) "You seem to be preoccupied with self.You should concentrate on hope for the future." 
D) "This information is secure with me because of client confidentiality."

Question 8

A nursing instructor is teaching students about the differences between partial and inpatient hospitalization. In what way does partial hospitalization differ from traditional inpatient hospitalization?

Accepted Answer

A) Partial hospitalization does not provide medication administration and monitoring. 
B) Partial hospitalization does not use an interdisciplinary team. 
C) Partial hospitalization does not offer a comprehensive treatment plan. 
D) Partial hospitalization does not provide supervision 24 hours a day. 
A) Partial hospitalization does not provide medication administration and monitoring. 
B) Partial hospitalization does not use an interdisciplinary team. 
C) Partial hospitalization does not offer a comprehensive treatment plan. 
D) Partial hospitalization does not provide supervision 24 hours a day.

Question 9

A community health nurse is teaching a class to expectant parents. All participants lack infant care knowledge. A student nurse asks, "If you had to assign a nursing diagnosis to this group, what would it be?" What is the best nursing reply?

Accepted Answer

A) "I would assign the nursing diagnosis of cognitive deficit." 
B) "I would assign the nursing diagnosis of knowledge deficit." 
C) "I would assign the nursing diagnosis of altered family processes." 
D) "I would assign the nursing diagnosis of risk for caregiver role strain." 
A) "I would assign the nursing diagnosis of cognitive deficit." 
B) "I would assign the nursing diagnosis of knowledge deficit." 
C) "I would assign the nursing diagnosis of altered family processes." 
D) "I would assign the nursing diagnosis of risk for caregiver role strain."

Question 10

A nursing instructor is teaching students about the Community Health Centers Act of 1963. What was a deterring factor to the proper implementation of this act?

Accepted Answer

A) Many perspective clients did not meet criteria for mental illness diagnostic-related groups. 
B) Zoning laws discouraged the development of community mental health centers. 
C) States could not match federal funds to establish community mental health centers. 
D) There was not a sufficient employment pool to staff community mental health centers. 
A) Many perspective clients did not meet criteria for mental illness diagnostic-related groups. 
B) Zoning laws discouraged the development of community mental health centers. 
C) States could not match federal funds to establish community mental health centers. 
D) There was not a sufficient employment pool to staff community mental health centers.

Question 11

When a nurse attempts to provide health-care services to the homeless, what should be a realistic concern?

Accepted Answer

A) Most individuals who are homeless reject help. 
B) Most individuals who are homeless are suspicious of anyone who offers help. 
C) Most individuals who are homeless are proud and will often refuse charity. 
D) Most individuals who are homeless relocate frequently. 
A) Most individuals who are homeless reject help. 
B) Most individuals who are homeless are suspicious of anyone who offers help. 
C) Most individuals who are homeless are proud and will often refuse charity. 
D) Most individuals who are homeless relocate frequently.

Question 12

Which nursing statement best describes the current nature of mental health care in the community?

Accepted Answer

A) "All homeless people have a history of institutionalization and are frequently admitted to acute care settings." 
B) "In the United States, the rate of serious mental illness in the prison population is the same as the general population." 
C) "The deinstitutionalization movement in the United States was successful in transitioning clients into the community." 
D) "Today, the majority of clients admitted to psychiatric hospitals are in a crisis stage, and the treatment goal is stabilization." 
A) "All homeless people have a history of institutionalization and are frequently admitted to acute care settings." 
B) "In the United States, the rate of serious mental illness in the prison population is the same as the general population." 
C) "The deinstitutionalization movement in the United States was successful in transitioning clients into the community." 
D) "Today, the majority of clients admitted to psychiatric hospitals are in a crisis stage, and the treatment goal is stabilization."

Question 13

When a home health nurse administers an outpatient's injection of haloperidol decanoate (Haldol decanoate), which level of care is the nurse providing?

Accepted Answer

A) Primary prevention level of care 
B) Secondary prevention level of care 
C) Tertiary prevention level of care 
D) Case management level of care 
A) Primary prevention level of care 
B) Secondary prevention level of care 
C) Tertiary prevention level of care 
D) Case management level of care

Question 14

A client diagnosed with schizophrenia is hospitalized due to an exacerbation of psychosis related to antipsychotic medication noncompliance. Which level of care does the client's hospitalization reflect?

Accepted Answer

A) Primary prevention level of care 
B) Secondary prevention level of care 
C) Tertiary prevention level of care 
D) Case management level of care 
A) Primary prevention level of care 
B) Secondary prevention level of care 
C) Tertiary prevention level of care 
D) Case management level of care

Question 15

A client diagnosed with schizophrenia was released from a state mental hospital after 20 years of institutionalization. A nurse should recognize which characteristic that is likely to be exhibited by this client?

Accepted Answer

A) The client is likely to be compliant with treatment because of institutional dependency. 
B) The client is likely to find a variety of community support services to aid in the transition. 
C) The client is likely to adjust to the community environment if given sufficient support. 
D) The client is likely to be admitted at some time to an acute care unit for psychiatric treatment. 
A) The client is likely to be compliant with treatment because of institutional dependency. 
B) The client is likely to find a variety of community support services to aid in the transition. 
C) The client is likely to adjust to the community environment if given sufficient support. 
D) The client is likely to be admitted at some time to an acute care unit for psychiatric treatment.

Question 16

Providing nursing education on drug abuse to a high school class is an example of which level of preventive care?

Accepted Answer

A) Primary prevention 
B) Secondary prevention 
C) Tertiary prevention 
D) Primary intervention 
A) Primary prevention 
B) Secondary prevention 
C) Tertiary prevention 
D) Primary intervention

Question 17

A newly admitted homeless client diagnosed with schizophrenia states, "I have been living in a cardboard box for 2 weeks. Why did the government let me down?" Which is an appropriate nursing reply?

Accepted Answer

A) "Your discharge from the state hospital was done prematurely.Had you remained in the state hospital longer, you would not be homeless." 
B) "Your premature discharge from the state hospital was not intended for patients diagnosed with chronic schizophrenia." 
C) "Your discharge from the state hospital was based on firm principles; however, the resources were not available to make the transition a success." 
D) "Your discharge from the state hospital was based on presumed family support, and this was not forthcoming." 
A) "Your discharge from the state hospital was done prematurely.Had you remained in the state hospital longer, you would not be homeless." 
B) "Your premature discharge from the state hospital was not intended for patients diagnosed with chronic schizophrenia." 
C) "Your discharge from the state hospital was based on firm principles; however, the resources were not available to make the transition a success." 
D) "Your discharge from the state hospital was based on presumed family support, and this was not forthcoming."

Question 18

A 27-year-old client was diagnosed 5 years ago with schizophrenia. What course of treatment should the nurse expect to be implemented?

Accepted Answer

A) Eventual admission for long-term care in a psychiatric facility 
B) Community-based care with numerous brief hospitalizations 
C) Case management in the community with few relapses 
D) Occasional contact with outpatient counselors and psychiatrists 
A) Eventual admission for long-term care in a psychiatric facility 
B) Community-based care with numerous brief hospitalizations 
C) Case management in the community with few relapses 
D) Occasional contact with outpatient counselors and psychiatrists

Exam 37: Community Mental Health Nursing

Which intervention should the nurse consider as primary prevention for an individual who is on the verge of being homeless due to a job layoff?

When intervening with a married couple experiencing relationship discord, which reflects a nursing intervention at the secondary level of prevention?

A nursing instructor is teaching about case management. What student statement indicates that learning has occurred?

Which of the following clients should a nurse recommend for a structured day program? (Select all that apply.)

A homeless client comes to an emergency department reporting cough, night sweats, weight loss, and blood-tinged sputum. What disease that has recently become more prevalent among the homeless community should a nurse suspect?

A nurse is implementing care within the parameters of tertiary prevention. Which nursing action is an example of this type of care?

A client on the inpatient unit tells a student nurse, "My life has no purpose. I can't think about living another day, but please don't tell anyone about the way I feel. I know you are obligated to protect my confidentiality." Which is the most appropriate reply by the student nurse?

A nursing instructor is teaching students about the differences between partial and inpatient hospitalization. In what way does partial hospitalization differ from traditional inpatient hospitalization?

A community health nurse is teaching a class to expectant parents. All participants lack infant care knowledge. A student nurse asks, "If you had to assign a nursing diagnosis to this group, what would it be?" What is the best nursing reply?

A nursing instructor is teaching students about the Community Health Centers Act of 1963. What was a deterring factor to the proper implementation of this act?

When a nurse attempts to provide health-care services to the homeless, what should be a realistic concern?

Which nursing statement best describes the current nature of mental health care in the community?

When a home health nurse administers an outpatient's injection of haloperidol decanoate (Haldol decanoate), which level of care is the nurse providing?

A client diagnosed with schizophrenia is hospitalized due to an exacerbation of psychosis related to antipsychotic medication noncompliance. Which level of care does the client's hospitalization reflect?

A client diagnosed with schizophrenia was released from a state mental hospital after 20 years of institutionalization. A nurse should recognize which characteristic that is likely to be exhibited by this client?

Providing nursing education on drug abuse to a high school class is an example of which level of preventive care?

A newly admitted homeless client diagnosed with schizophrenia states, "I have been living in a cardboard box for 2 weeks. Why did the government let me down?" Which is an appropriate nursing reply?

A 27-year-old client was diagnosed 5 years ago with schizophrenia. What course of treatment should the nurse expect to be implemented?

The Concept of Stress Adaptation

Mental Healthmental Illness: Historical and Theoretical Concepts

Theoretical Models of Personality Development

Concepts of Psychobiology

Ethical and Legal Issues in Psychiatricmental Health Nursing

Cultural and Spiritual Concepts Relevant to Psychiatricmental Health Nursing

Relationship Development

Therapeutic Communication

The Nursing Process in Psychiatricmental Health Nursing

Therapeutic Groups

Intervention With Families

Milieu Therapy - the Therapeutic Community

Crisis Intervention

Relaxation Therapy

Assertiveness Training

Promoting Self Esteem

Angeraggression Management

Intervention With a Suicidal Client

Behavior Therapy

Cognitive Therapy

Electroconvolusive Therapy

Complementary Therapies

Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence

Delirium, Dementia, and Amnestic Disorders

Substance-Related Disorders

Schizophrenia and Other Psychotic Disorders

Mood Diorders: Depression

Mood Disorders: Bipolar Disorder

Anxiety Disorders

Somatoform and Disassociative Disorders

Issues Related to Human Sexuality and Gender Identity

Eating Disorders

Adjustment and Impulse Control Disorders

Personality Disorders

The Aging Individual

Victims of Abuse or Neglect

Forensic Nursing

The Bereaved Individual

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